# BRETT L. KELLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407870876
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036110898 | IL | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 10/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0361100898 | OSF CARE ADVANTAGE | IL |
| 01 | — | 036110898 | OSF CARE PREFERRED | IL |
| 05 | — | 036110898 1 | — | IL |
| 01 | — | 1302850001 | ADMINISTAR FEDERAL | IL |
| 01 | — | 133229700 | US DEPARTMENT OF LABOR | IL |
| 01 | — | 5715378 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 678434 | HEALTHLINK | IL |
| 01 | — | IL0103 | JOHN DEERE HEALTH | IL |
| 01 | — | P00200415 | MEDICARE METRAHEALTH | IL |